Journal of Osteopathic Medicine, 2001/04, 4(1):31. doi: 10.1016/S1443-8461(01)80042-3, type of study: ,ppt,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://www.sciencedirect.com/science/article/pii/S1443846101800423)

Keywords:

anterior disc displacement [1]
craniomandibular dysfunction [13]
exercise therapy [25]
mouth opening [8]
pretest posttest design [240]
temporomandibular joint [53]
abstract [186]

Abstract:

Objective: To evaluate the use of exercise therapy for the treatment of craniomandibular disorders (CMDs). Design: Before-after trial. All patients were assigned to a waiting list, serving as a no-treatment control period. Setting: Outpatient clinic for physical medicine and rehabilitation of the University of Vienna. Patients: Thirty consecutive patients suffering from CMD with anterior disc displacement with reduction who were consulting a CMD service. Inclusion criteria: (1) symptoms lasting at least 3 months, (2) pain in the temporomandibular region, (3) a positive axiography, and (4) evidence of postural dysfunction. Twenty-six patients completed the study; no adverse effects occurred. Interventions: Active and passive jaw movement exercises, correction of body posture, and relaxation techniques. Main Outcome Measures: (1) Pain at rest, (2) pain at stress, (3) impairment, and (4) mouth opening at baseline, before and after treatment, and at 6-month followup. Results: During the control period, no changes occurred. After the treatment, pain and impairment were significantly reduced (Wilcoxon test, p < .001). Four patients had a restricted mouth opening, in contrast to 15 before treatment (ik a test, p < .005). Joint clicking vanished in 13.3% and was reduced in another 13.3% (X 2 test, p < .01). These results did not change until follow-up. Seventy-five percent of the patients were treated successfully. Conclusion: Exercise therapy seems to be useful in the treatment of anterior disc displacement with reduction.